Child Death Overview Panel (CDOP)

The LSCB is responsible for ensuring that a review of each death of a child normally resident in the LSCB’s area is undertaken by a CDOP. The CDOP will have a fixed core membership drawn from organisations represented on the LSCB.

The functions of the CDOP include:

  • Reviewing all child deaths, excluding those babies who are stillborn and planned terminations of pregnancy carried out within the law.

  • Collecting and collating information on each child and seeking relevant information from professionals and, where appropriate, family members.

  • Discussing each child's case, and providing relevant information or any specific actions related to individual families to those professionals who are involved directly with the family so that they, in turn, can convey this information in a sensitive manner to the family.

  • Determining whether the death was deemed preventable, that is, those deaths in which modifiable factors may have contributed to the death and decide what, if any, actions could be taken to prevent future such deaths.

  • Making recommendations to the LSCB or other relevant bodies promptly so that action can be taken to prevent future such deaths where possible.

  • Identifying patterns or trends in local data and reporting these to the LSCB.

  • Where a suspicion arises that neglect or abuse may have been a factor in the child's death, referring a case back to the LSCB Chair for consideration of whether an SCR is required.

  • Agreeing local procedures for responding to unexpected deaths of children.

  • Cooperating with regional and national initiatives - for example, with the National Clinical Outcome Review Programme - to identify lessons on the prevention of child deaths.

In reviewing the death of each child, the CDOP should consider modifiable factors, for example, in the family environment, parenting capacity or service provision, and consider what action could be taken locally and what action could be taken at a regional or national level.


Child Death Review Process Flowchart

National Child Death Review Guidance

Sudden or Unexpected Death in Infancy, Childhood or Adolescence (SUDIC) Protocol (0-18 years)


CDOP Forms

Form A - Initial notification of child's death

Form B - Form to collate detailed information from partners

Form B - Supplementary Forms

B2 – Neonatal Death

B3 – Death of a child with a known life – limiting condition

B4 – Sudden unexpected death in infancyB5 – Road Traffic Accident

B6 – Drowning

B7 – Fire/Burns

B8 – Poisoning

B9 – Other non- intentional injury

B10 – Substance Misuse

B11 – Apparent Homicide

B12 – Apparent Suicide 

B13 – Summary of Autopsy Findings


CDOP Local Newsletter

The Suffolk CDOP now publishes a newsletter, sharing key messages with the local community about child health, safety and wellbeing.


CDOP Bereavement Support Directory

The Suffolk CDOP has developed this booklet for parents, carers and families who have been affected by the loss of a baby or child. This booklet is a ‘directory’ of services that can offer information, advice or support. Although it is not a definitive list, it may be a useful place to start. These services are available at any stage of a bereavement; whether recent or past. Many of these organisations have local offices or groups in Suffolk. Often, they are staffed by volunteers who have a personal experience of bereavement.

CDOP Bereavement Support Directory

The booklet also explains how the Child Death Overview Panel works and what its role is in safeguarding and promoting the wellbeing of children in Suffolk.



You can contact the Child Death Overview Panel via email on

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